Lower limb injury - Upper limb injury. Unspecified injury of lower limb, level unspecified injury of NOS - Unspecified injury of upper limb , level unspecified injury of arm NOS
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: inclusion criteria: 1. Age between 18 and 60 years, have indicated a painful procedure and this treatment included painful reduction of dislocation and fractures can be done in an emergency. 2 Persons according to the American Society of Anesthesiologists Physical Status Classification (ASA) class 1 and 2 have Exclusion criteria: 1 - persons under 18 years and above 60 years of age 2- people with Anesthesiologists Physical Status Classification (ASA) class more than two 3-people with kidney and liver disease 4-person with alcohol consumption 5-people addicted to drugs 6- pregnant and lactating women 7- those who have contraindications to the use of ketamine and propofol and fentanyl
Exclusion criteria
Exclusion criteria:
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Sedation. Timepoint: Before intervention,5 minutes after intervention, 15minutes after intervention, 30 minutes after intervention, 120 minutes after intervention. Method of measurement: sedation rate is classified by the joint commission(TJC). Grade 1 (Minimal sedation): patients obey orders, but patient consciousness has been disrupted. Grade 2 (Moderate sedation): the patient wakes up in responding to touch and has a withdrawal reflex to pain. Grade 3 (Deep sedation): patient wakes up with recurrent painful stimulation and cannot keep his/her airway by own. Grade 4 (General anesthesia): patient not respond to repeated painful provocations and requires mechanical ventilation, and cardiovascular status can also be disrupted.;Pain. Timepoint: Before intervention,5 minutes after intervention, 15minutes after intervention, 30 minutes after intervention, 120 minutes after intervention. Method of measurement: Pain is rated according to numerical scale 0 to 10, so 10 is the worst pain condition and 0 is no pain condition. | — |
Secondary
| Measure | Time frame |
|---|---|
| Oxygen Saturation. Timepoint: Before intervention, 5 minutes after intervention, 15 minutes after intervention, 30 minutes after intervention, 120 minutes after intervention. Method of measurement: Puls oxymeter.;Heart Rate. Timepoint: Before intervention, 5 minutes after intervention, 15 minutes after intervention, 30 minutes after intervention, 120 minutes after intervention. Method of measurement: number per minutes.;Respiratory rate. Timepoint: Before intervention, 5 minutes after intervention, 15 minutes after intervention, 30 minutes after intervention, 120 minutes after intervention. Method of measurement: number per minutes.;Blood pressure. Timepoint: Before intervention, 5 minutes after intervention, 15 minutes after intervention, 30 minutes after intervention, 120 minutes after intervention. Method of measurement: sphygmomanometer mmhg.;Vomiting. Timepoint: Before intervention, 5 minutes after intervention, 15 minutes after intervention, 30 minutes after intervention, 120 minutes after intervention. Method of measurement: Observation.;Sialorrhea. Timepoint: Before intervention, 5 minutes after intervention, 15 minutes after intervention, 30 minutes after intervention, 120 minutes after intervention. Method of measurement: Observation. | — |
Countries
Iran (Islamic Republic of)
Contacts
Mazandaran University of Medical Sciences